maternal mortality Govt. of Gujarat launched scheme called Chiranjeevi Yojana ( CY) in Dec. Shortage of obstetricians in rural areas of India. The research. Background The Chiranjeevi Yojana (CY) is a Public-Private-Partnership between the state and private obstetricians in Gujarat, India, since. Effect of Chiranjeevi Yojana on institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis.

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Three clusters of talukas were, thus, formed, and one taluka from each cluster was randomly picked.

Chiranjeevi Yojana for women, below poverty line(BPL) pregnant, Gujarat

The Chiranjeevi Scheme currently focuses only on delivery care. Amarjit Singh, Commissioner Health and the Government of Gujarat for encouraging them to undertake the study. Based on evidence that differential pricing structures cause inflation in Caesarean sections [27,28], the scheme designers attempted to embed this disincentive for unnecessary surgical intervention. Subscribe to our newsletter.

Without knowing the detailed history of the pregnant women, practitioners were of the view that they are unable to anticipate complications, or prevent them by treating underlying causes such as anaemia or malnutrition. Despite progress since —, maternal health indicators in Gujarat still lag behind some states in the south of the country, for example Kerala where the MMR was 81 perfor [19]. The Chiranjeevi Scheme has provided financial protection against the cost of delivery and EmOC to the marginalized section of the population.

As our study found in this context, junior doctors starting out in their practice and doctors in rural areas who face less competition for patients find the scheme more suited to their aims and objectives, and are more likely to deliver the scheme satisfactorily.


Some of the obstetricians, mostly in rural areas and currently participating in the scheme, commented that they were pleased that they could provide services free of charge to poor women while they themselves received reasonable fees through the scheme. In most cases these requests were for individuals who were not eligible for CY, or who were not able to produce the necessary documents.

Strategies for reducing maternal mortality: Submit your next manuscript to BioMed Central and take full advantage of: Trends in maternal mortality: We explored with private obstetricians the reasons and experiences that influenced their decisions to participate in the CY programme. Public-Private Partnerships in Health services delivery: This situation arose when the same clients who used to pay fees came in with appropriate Yojanz certification allowing them to access care for free: The BPL chiarnjeevi helps identify this group of population for provision of various benefits and to target the benefits.

Merrygold Health Network aims at creating access to low cost good quality Maternal and Child Health MCH services by networking with Private health service providers as franchisees.

Rethinking health care systems: Group 1 is also more backward, has more tribal population, and geographically in the east of the state. Public-private partnership, contracting arrangements and managerial capacity to strengthen RCH programme implementation: Can public-private partnerships improve health yoojana India? The weighted average for normal and complicated delivery cost for NCM came to be Rs 4, When the scheme was initiated, the pilot districts were selected based on remoteness and included regions with the highest rate of infant mortality.


Maternal Healthcare Financing: Gujarat’s Chiranjeevi Scheme and Its Beneficiaries

Others described how the scheme allowed them to launch their practices: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

CY beneficiaries are enrolled through their family health workers. Private health chiranjeeiv provision in India. So just to get more patients [not losing patients to them who continue enrolment in CY] we have continued to participate chidanjeevi this scheme.

Chiranjeevi Yojana (CY)

So CY is difficult for me. Overall, the study has shown that the scheme reaches the poor and provides substantial benefits to them. Private obstetricians said that they usually avoid a trial of normal labour and delivery yoajna it increases the chance of emergency Caesarean delivery, which is always challenging in single doctor practices without ready availability of blood and an anaesthetist: In Gujarat, as in other states in India, there is a chronic yjoana of obstetricians in the public sector, and particularly in rural areas of the state [12].

It also provides the financial assistance to the attendant for the loss of wages. Providers still participating, and those who recently dropped out spoke about a tension between doing public good and making a profit.